Graduated: 1994
NPI: 1114196672
Practice Locations (2)
FAIRVIEW EXPRESS CARE
3400 W 66TH ST, SUITE 290
EDINA, MN 554352133
9529141965
FAIRVIEW SPECIALTY SERVICES
290 MAIN ST NW, SUITE 100
ELK RIVER, MN 553301251
7632415800
Source: CMS National Downloadable File, September 2026.